Individual provider · Type 1 NPI

Brent C. Potter

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1174636500 Active

Practice location

1101 W College Ave
Spokane, WA 99201-2010

Call (509) 324-1420 Map

Mailing address

PO Box 528
Bethel, AK 99559-0528

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLH00007704 (WA)
Clinical Psychologist 103TC0700X2012832 (CA)
Professional Counselor 101YP2500XLH0007704 (WA)
Clinical Psychologist 103TC0700XLH00007704 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60721362 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174636500

Brent C. Potter's National Provider Identifier is 1174636500, issued on Aug 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Jun 24, 2021.